East Side Medical Center of South Florida LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EAST SIDE MEDICAL CENTER OF SOUTH FLORIDA LLC

Practice address

100 NW 82ND Ave Ste 401
Plantation, FL 33324-1835

Phone

(954) 331-5799

Fax

(954) 587-5018

NPI assigned

Jul 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Claire Katz, MDNPI 1295758001

Title

Physician/Owner

Phone

(954) 331-5799

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Claire P Katz, M.D.

  • Internal Medicine Physician
  • Plantation, FL
  • NPI 1295758001
  Medicare reassignment NPD Authorized official
• Mark A Rubin, M.D.

  • Family Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1255354163
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1639190184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW 82ND AVE",
            "address_2": "SUITE 401",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-331-5799",
            "fax_number": "954-587-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 82ND AVE STE 401",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241835",
            "telephone_number": "954-331-5799",
            "fax_number": "954-587-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE MEDICAL CENTER OF SOUTH FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "954-331-5799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.